MEDEVAC ALASKA L.L.C. (NPI# 1285173880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285173880 |
| Entity Type | Organization |
| Organization Name | MEDEVAC ALASKA L.L.C. |
| Practice Address |
6231 S Airpark Pl Anchorage AK 99502-1807 |
| Mailing Address |
Po Box 3793 Seattle WA 98124-3793 |
| Practice Telephone | 9079571208 |
| Mailing Telephone | 9079571208 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | KIP FANNING (PRESIDENT) |
| Authorized Official Telephone | 9079571208 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
AK | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588165070 | Medevac Alaska L.L.C. | Ambulance | 4011 Artic Blvd Ste 206, Anchorage, AK 99503-5701 | 2018-02-21 |
| Street Address |
6231 S AIRPARK PL |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99502-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073157897 | Thelma Desjarlais | Case Manager/Care Coordinator | 9201 Shorecrest Drive, Anchorage, AK 99502 | 2019-11-05 |
| 1659851038 | Vonice LLC | Pharmacy | 4311 W Lake Cir, Anchorage, AK 99502 | 2018-08-15 |
| 1447736798 | Kelly Wilson | Assisted Living Facility | 8848 Gloralee St, Anchorage, AK 99502 | 2018-07-18 |
| 1912405770 | In His Image LLC | Custodial Care Facility | 2253 Mistybrook Cir, Anchorage, AK 99502 | 2018-01-26 |
| 1316344963 | Alaska Regional Life Flight Corporation | Ambulance | 3474 Old International Airport Road, Anchorage, AK 99502 | 2014-11-25 |
| 1164827101 | Dante Kun | Counselor | 8000 West End Rd. (pt. Woronzof), Anchorage, AK 99502 | 2014-11-04 |
| 1407256357 | Kayli Ellingson | Pharmacist | 7020 Northwood Drive, 102, Anchorage, AK 99502 | 2014-08-28 |
| 1801168620 | Mckenzie Assisted Living | Clinic/Center | 8812 Hamlet Circle, 8812 Hamlet Circle, Anchorage, AK 99502 | 2012-02-09 |
| 1568623106 | South Anchorage Dental Clinic LLC | Dental Assistant | 9170 Jewel Lake Road, Suite 201, Anchorage, AK 99502 | 2008-06-17 |
| 1154580611 | Tonia Marie Taylor | Assisted Living Facility | 2821 Ruby Drive, Anchorage, AK 99502 | 2008-06-09 |
| Find all providers in zip 99502 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801312665 | Guardian Flight LLC | Ambulance | 3474 Old Intl Airport Rd, Anchorage, AK 99502-1003 | 2017-08-14 |
| 1316344963 | Alaska Regional Life Flight Corporation | Ambulance | 3474 Old International Airport Road, Anchorage, AK 99502 | 2014-11-25 |
| 1922525807 | Guardian Flight LLC | Ambulance | 3474 Old Intl Airport Rd, Anchorage, AK 99502-1003 | 2017-08-23 |
| 1679742266 | Galen Hospital Alaska, Inc. | Ambulance | 2801 Debarr Road, Anchorage, AK 99508-2997 | 2008-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1528585494 | Guardian Flight LLC | Ambulance | Teacher Housing Apt # 18 Lagoon Street, Kotzebue, AK 99752 | 2017-08-23 |
| 1750807525 | Guardian Flight LLC | Ambulance | 5880 Old Airport Rd, Fairbanks, AK 99709-4601 | 2017-08-14 |
| 1366968133 | Guardian Flight LLC | Ambulance | 8429 Livingston Way, Juneau, AK 99801-8098 | 2017-08-14 |
| 1346766128 | Guardian Flight LLC | Ambulance | 1720 Sawmill Creek Rd, Sitka, AK 99835-9768 | 2017-08-14 |
| 1538685300 | Guardian Flight LLC | Ambulance | 120 Carlanna Lake Rd Ste 104, Ketchikan, AK 99901-5611 | 2017-08-14 |
| 1053837823 | Guardian Flight LLC | Ambulance | Beluga Bluffs Apt Block 26, Lot 5 Apt. 5 & 6, Dillingham, AK 99576 | 2017-08-14 |
| 1811218019 | Venture Travel, LLC | Ambulance | 4085 Tongass Ave, Ketchikan, AK 99901-5526 | 2010-06-22 |
| 1801919949 | Air Sitka | Ambulance | 485 Katlian St, Sitka, AK 99835-7506 | 2007-04-06 |
| 1154496651 | 40 Mile Air Ltd | Ambulance | 1313 Alaska Highway, Tok, AK 99780 | 2006-11-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.